HomeMy WebLinkAbout1998-010685 - shed PERMIT
CIT`�' OF ORONO PERMIT TYPE: T w�;
'2750 Kelley Parkway- P.O. Box 66 �`'�-�=�':3=� �`-�
Crystal Bay, Minnesota 55323 Permit Number: i_+t,�r;-,�_�W
(612) 473-7357 Date Issued: i i°-:;'::,i ,��-��;
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: — ���F�� ��:�?=t� —
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APPLICANT%PERMIT SIGNA RE ISSUED BY:SIGNATURE � •
Total F,ee: a� „��, 2S� Date Received:
Entered By: ��If . � Permit#: /� ��'�
CITY OF ORONO - BITILDING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information) .
THE�A.PPLICAi�T'I' IS: (circle one) O��NER R CONTR.ACTOR� _ � �
JOB SIT'E ADDRESS: � � v�.' ,� ��� V" ZTP: S � �
. � �
NAME OF OWNER. �� PHONE: (home) �;1'� ' v �--��c�
(work) ��,� - (, � '� `�
MAII�IVG ADDRESS: �,��, . CI'I'Y: ZIP:
CO�r1'RACTOR: PHOivE: �
C01�3'I'ACT PERSON: MOBILE/PAGER: �
MA_II�I�i tG ADDRESS: CITY: ZIP:
STATE LICEI�TSE: #
AF.CHITECT/Ei�TGINEER: PHOYE:
;�IASLTiYG ADDRESS: CITY: ZIP:
rJ�.�: REGISTRATION#
TYPE OF tiVORb': New Addition Accessory Structure .� _
Move � Remodel/Alteration Land Alteration
PROPOSED tiVORK(describe in detai�: �; o., S�.� � '` LV
��\�
��.�..� c�, •�_ :�vz.,S-� �� � � eu-� v.�a•..,�-�.�� �.�. '�r r.�.,,-�� ,
STORTES: SQ.FEET OF EACH FLOOR: ' -
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
� _ � _ . .
ESTII�IA.'ITED CO�TSTRUCTION VALUATION (excluding land): $ ,�(1 v C�
I hereby apply for a buildin�pemut and I acknowledae that the information above is complete and
accurate; that the work will be in conformance with the ordinances and codes of the Ciry and with
the State Buildin� Code; that I understand this is not a permit and work is not to start without a
permit; and that the work will be i.n accord ce wich the approved plan.
A.PPLTCANT'S SIGNAT'URE: ? � ^ k, DATE: �-- �- � ` `��
NOTE! t'arade o Homes events require separate permit approvaT by Police Department and
� City Council 60 days prior to the event. Non permilted events will not be allowed.
Sec.13.0:RIGHTS OF SUBJECTS OF DAT?.
Subd. 1. Typ>_of data. The righ�s of ic:dividual on whom the data is s:oce3 or to ba scored shali be as set forL4 in ehis secaoa -
Subd.2. IaformaCon reqcrired to be�vea iadiridual. An individua!uked to suppiy privare or confideadal dan concerning himself shall
bc informed of: (a)the purpose acd in4aded usc of che rcquu�dara wichia�he eollccang stace ageacy, polidcal subdivision,or s�tewide rysc�m-
(b)whe;.�:er he may rfuse or is le3ally requir_d to supply the rquesud da�;(c}aay Fmo�vn coasequence arising from his supplying or refusiag to supply
privar_orcor.::deadal d�ra;ar.d(d)che ideaary of atherpersoas orencid:s aa�horiz:d by sc��e or federdllaw to teceive the dara. This requiremeatshall
r.ot apply wh:n an individual is asked co sup�ty inva�oadve data,pursuaacto secdon 13.82,subdivision 5, co a law enforcemea�ofi:cec. -
The com.,.issioner of revenue mav o(ace che noace r_ouird under this subdivision in the individu3l ir.cone ttz or orooem tat refucd
ins�rucdor.s iruc�ad of on chose forms.
Sutd. 3. Access to data by iadiridual. tipon requesc to a r.sporuible auchoriry,an individual shall be informcd whed:=r he is the subject
of smr_d dac�on individuzls,and whe�har i�is ciassified�s public,privace or co�denrial. Upon his furcher request,an individual who is the subjecc
of scored privace or public daca on individuaIs shal!be shown che daci wichout any charge to tiim and;if he desires, shall be inform:d of the eontenc
and m�aning of chat dac�. Af�er an individual hbs been shown the privac:data and informed of iu meaning, tha daca ne�d eoc be dis:iosed to him fo�
siz mor.�hs tt;ercafcr.�u..less a dispute or acdon pursuanc to [his secdon is pending or addidoaal dac�on the individual has been eoltect�d or eraced.
The r_sponsibte au�horiry shali provide copies of che priva�.:orpublic data upon tequcs�by the individu3l subjectof cho dan. Tne responsible authoriry
may tequire the requu.^:ng person to pay the accual coscs of mak.ing,eerafying,and eompiling the copies.
The r_sponsible auchoriry shall conply immediately,if possioie,wich any requesc made pursuan[to this subdivision,or wi�hin tive days of
the dace oc the reques:,excluding Sacucdays.Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the r:quest
within that cime,he shall so infort[he individual,and may have an addiaonal five days wichin which to comply wich the request,eLcluding Sacurdays,
Sundays and legal holidays.
Subd.4. Procedure vvhen data is not accurate or camplete. An individual may contest the accutacy or completeness of public orpri�ate
daca concerning hir..sclf. To ezercise chis ci¢ht,an individual shall nod'ry in wridng[ho tesponsibte authority describing the nature of the disagreemeaG
The responsibfe auchoriry shall wichin 30 days ei�her: (a)corr_ct the dsta found to be inaccurate or incomplece and attempt to nodfy past recipien[s of
inaccurace or incomplec�data, inctuding recipiencs named by che individeal; or(b)noafy the individual thac he believes che da[a ro be eoaee� Data
in dispu�e shall be disclos:d only if the individual's sc�tem:nc of disagr:cr,.ent is indudzd with the disclosed daca.
The decerminadon of the responsible auchoriry may be appealed pursuanc to the provisions of[he adminis�acive procedure act re(aang to
contested eases.
DATA PRIVACY ADVISORY
In accordance wi�h M.S. 13.04, Subd.2, "Riohts of subjects of data", we would like to inform you that your request
for a pernut or license from the Ciry of Orono or any of its departments may require you to fumish certain private or
confidential informacion. "
You are notified thar. •
1. 'Ihe information you furnish will be used to determine your qualification for the permit or license requested.
2. You may refuse to supply data, buc refusal may require that the City deny the permit or licease.
3. The informatioa may be shared wich o�her local, state or federal agencies to the eztent necessary to process
� the pemut or license.
4. If your reques[ed germit or licease requires Coun�il ac!Ib.n to app:ove, some information may become
public.
�. You have certain ri�hts under Ni.S. 13.04 (available upon request) to review private data on yourself.
6. Your full name is required to process this application or permi�.
Firsc tifiddle Lasc
Add ress
Ciry Srace ZiQ Phone . .
I und y ri cs as stated above.
�
st� .
, CHECK OFF LIST FOR TSSUANCE OF PERi1�LITS
� FOR OFFICE USE ONLY
ADDRESS OR LEGAL: _ Z►;� (�t}y v�t u: Pi..�a�„; �
PID:
DESCRIPTTON OF WORK: S}�L--b
-----------------------------------
ZONING REV]Eti� BY: � DATEAPPROVED:~� 26 `i�~-
BUILDTYG REVLE�'V BY: : DAT�APPROVED: Y3�-� .�i�
_ ,
. ----------------------------------=-
�'EES TO BE CHARGED: � Misc. Pees Calculated By:
PERNIIT Yes �/ � No '
PLAN REVIEW Yes � No �/ SEWER COYNEC'TION
STATE SUR�H�G� yes � No ti��,TER C0�INECTION
INVESTIGAT'ION-FEE Yes No PARK FEE
SAC Yes No SITEINSPECTTON
Number of SAC Units OTHER (specify)
------------------------------------------- ----
ZOtiTING CHECK LIST Zoning District: L./:' -jG
Fire Department: Post Office: School District: �
. ��
I.at Area: Sq.ft. Acres tiVidth Depch
l.
Survey Submitted: Yes vc No Date of Survey: �,v ,^_� _
Proposed Setbacks:
Front (Lake): . ��,� � Right Side: C'iL ' �_
Rear(Street): Z S� Left Side: _ �'Z' }�
Adjacent Structures: �2' � tiVetland: N I�/�
Building Height: Def. Hgt. U< <<- Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Date:
Septic: Staff Approval Date: gy; •
Zoning File: # Resolution: # Resolution Date: �
Shoreland Dis�ict: � �
A� � � Avg. Setback: Bluff Setback: Lot Coveraoe:
��� Ezistin
� Proposed
Hardcover: 0-75'
75-250' . . � �
250-500' . .
500-1000'
. Hazdcover Variance Required: Yes No Date of Council Approval:
Y
RE1I�ZARKS (in house):
3 � . '
' '` 26
. ��� . .
BUII,DING REVIEW CHECK LIST �
UBC: t� '� CONSTRUCT'ION TYPE: u�1
� Sq Footage $ Per Sq Ft�
Basement X �
. . � lst Floor . � X � � . .
2nd Floor . � . X . . .
Gara'e X = . � . . � .
x
TOTAL
Esti_mated Construction Value• $ � ��L p�- �
-- Inspections Required: • Work Requiring Separate Permits:
Site Plumbing Fire
Hardcover Removal Mechanical
Footing tiVater Connection .
Septic Sewer Connection "
Frami�g Fire lace
Insulation P �� �gation
Wall Boazd ��0�� Ocher . �
y�F�� � rn'ifj•) Well (State Perm.it)
Other Gradin�/Fillin� Electrical (State Permit)
REMA-RKS ( .�i T HOUSE): � M~_�----------- __�_�^______
------------------------- DATE
------------------
REYIEtiV BY OTHERS: -------------------
Access: Eziscin� New
• Access Approval: Date �
------------------------------------_-- -� By�
�1�A.RI�S ('I'O BE NOTED ON PER�tiiiT): ����~_w�_-� -_____�__
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION O I t+�� SCHEDULED "
PERMIT NO. �� � COMPLETED
ADDRESS � � , �J
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z O�D. 12 WATER HOOK-UP 17 SITE INSPECTION
05 FIN 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
D COMMENTS:
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d ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
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� ❑ CORRECT WORK R PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,.� pHOTOTAKEN
INSPECTOR WtIL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR �l'. CITATION ISSUED
l7 INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next ins 4 hours in advance.473-7
OwnerlContr r o site-
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Inspector.
White Copyllnspector's File Canary CopylSite Notice �